390 Plaza TEMP19-0002 temporary pole permit ELECTRICAL TEMP POLE PERMIT PERMIT NUMBER
CITY OF ATLANTIC BEACH TEMP19-0002
ISSUED: 1/18/2019
800 SEMINOLE ROAD
B ATLANTIC BEACH. FL 32233 EXPIRES: 7/17/2019
MUST CALL INSPECTION PHONE LINE (904) 247-5814 BY 4 PM FOR NEXT DAY INSPECTION.
ALL WORK MUST CONFORM TO THE CURRENT 6TH EDITION (2017) OF THE FLORIDA BUILDING
CODE, NEC, IPMC, AND CITY OF ATLANTIC BEACH CODE OF ORDINANCES .
ALL CONDITIONS OF PERMIT APPLY, PLEASE READ CAREFULLY.
NOTICE: In addition to the requirements of this permit,there may be additional restrictions applicable to this property
that may be found in the public records of this county,and there may be additional permits required from other
governmental entities such as water management districts,state agencies,or federal agencies.
JOB ADDRESS: PERMIT TYPE: DESCRIPTION: VALUE OF WORK:
390 PLAZA ELECTRICAL TEMP POLE 40 amps/240 volts/single- $60.00
phase-temporary pole
TYPE OF REALESTATE BUILDING USE
CONSTRUCTION: NUMBER: ZONING: GROUP: SUBDIVISION:
1699810000 ATLANTIC BEACH
COMPANY: ADDRESS: CITY: STATE: ----ZIP:
KNIGHT ELECTRIC LLC 908 S 11TH AVE JACKSONVILLE FL 32250
BEACH
OWNER: ADDRESS: CITY: STATE: ZIP:
WEBER JULIEANN E 124 14TH ST ATLANTIC BEACH FL 32233
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT
IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST
INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN
ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
LIST OF CONDITIONS
Roll off container company must be on City approved list . Container cannot be placed on City right-of-way.
0
DESCRIPTION ACCOUNT QUANTITY PAID AMOUNT
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 1 $2�001
TOTAL:$94.00
Issued Date: 1/18/2019 1of2
ELECTRICAL TEM P POLE PERMIT PERMIT NUMBER
TEMP19-0002
CITY OF ATLANTIC BEACH
ISSUED: 1/18/2019
800 SEMINOLE ROAD
ATLANTIC BEACH. FL 32233 EXPIRES: 7/17/2019
Issued Date: 1/18/2019 2 of 2
Electrical Permit Application "ALL INFORMATION
City of Atlantic Beach Building Department HIGHLIGHTED IN
GRAY IS REQUIRED.
800 Seminole Rd, Atlantic Beach, FL 32233 000a
Phone: (904) 247-5826 Email: Building-Dept(E)cclab.us PERMIT#:—0 f: — 01q3
X'SIS
JOB ADDRESS: 23 C-) Plol Z'-1. ou
I A � EL 32 A�JECT VALUE 0 0
JEA INFORMATION REQUIRED ON ALL PERMITS: AMPS vjqt) VOLTS PHASE
F-1 NEW SERVICE: El Overhead OUnderground []Underground up Pole
E311esidential(Main)Service:
[30-100 amps E3101-150amps 13151-200amps 171 amps #of Meters
OCornmercial(Main)Service:
[30-100 amps EhOl-150amps 13151-200amps 0—amps OCT Service amps
Conductor Type Size
Multi-Farnity(Main)Service:
OD-100 amps 0101-150amps [1151-200amps [3_amps #of Unit Meters
ED/TEMPORARY POLE: amps
__T_
El SERVICE UPGRADE: -amps OCT Service_amps
NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES, ETC.):
E1100amps, 0150amps E]200amps 0—amps MZTService_amps
ADDITIONS, REMODELS,REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES, ETC:
Outlets/Switches: 0-30amps —31-100amps 101-200amps
Appliances: 0-30amps _31-100amps 101-200amps
A/C Circuits: -____0-60amps —61-100amps
Heat Circuits: -_Ilt circuits @—kw
Number of Lighting Outlets, Including Fixtures:
OTHER ELECTRICAL PROJECTS:
[]Swimming Pool OSign 13Smoke Detectors (Qty) OTransformers KVA []Motors_HP
Ej FIRE ALARM SYSTEM (Requires 3 sets of plans):
QtY—volts/amps
REPAIRS/IVIISCELLANECIUS:
EIReplace Burnt/Damaged Meter Can 0Safety Inspection OpanelChange []OH to UG
[3)ther: UpdatedIO117118
ave
Permit becomes void if work does not commence within a six month period or-work is suspended or abandoned for six months. I hereby certifythat I h
read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether
specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of
construction.
Owner Name: Phone Number: 6,t) -
Electrical Company: kkh ol T- Office Phone: -7- f
j — -2 Fax:
Co.Address: City: State: Zip:
License Holder: -:'fl f 15-3
e-VL =4 State Certification/Regist ratio n#:
Notarized Signature of License Holder 7T__
The foregoing instrument was acknowledged before me this '10dayof_j_eDU
20_�j in the State of Florida,County of
S1 t of Notary Public_ A—w-ua
........... JEN ER JOHNS'TON
My COMMISsION#GG 042994 [;Zally Known OR Produced Identification
E)(PIRES'octoe,27,2020. Type of Identification:
t rs
Pubic Ur49rwrl 9
Bwded Thru t4otaTy
Cash Register Receipt Receipt Number
City of Atlantic Beach R7880
DESCRIPTION ACCOUNT QTY PAID
PerrnitTRAK $94.00
TEMP19-0002 Address: 390 PLAZA APN: 1699810000 $94.00
ELECTRICAL $90.00
ELEC TEMP SERVICE 455-0000-322-1000 0 $35.00
ELECTRICAL BASE FEE 455-0000-322-1000 0 $55.00
STATE SURCHARGES $4.00
STATE DBPR SURCHARGE 455-0000-208-0700 0 $2.00
STATE DCA SURCHARGE 455-0000-208-0600 0 $2.00
'TOTAL FEES PAID BY RECEIPT: R7880 $94.00
Date Paid: Friday, January 18, 2019
Paid By: KNIGHT ELECTRIC LLC
Cashier: CB
Pay Method: CREDIT CARD 81258
Printed: Friday,January 18, 2019 9:13 AM 1 of 1